First Utrecht Technology event
Date: Thursday June 4, 2026 (09.00-17.30 hrs)
Location: Accelerator building, Uppsalalaan 17, Utrecht

First name: *

Infix:

Surname: *

Affiliation *

Other

What is your role at your institution?

E-mailadres: *

I would like to present a poster *

Yes

No

Poster title

I would like to present a facility *

Yes

No

Facility name:

Supplies (e.g. market stand, electricity, posterboard, etc.)

I agree to be filmed during this conference

Yes

No

Other remarks:

* = Input is required